Active NPI
Laura Elizabeth Rider, PHARMD.
- Pharmacist
- Westmont, IL
National Provider Identifier
1083826556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- Practice address
- 50 E. Ogden Ave
Westmont, IL 60559 - Phone
- (630) 986-8065
- Fax
- (630) 986-8468
- NPI assigned
- May 4, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | IL | Primary |
Addresses
Primary practice location
50 E. Ogden Ave
Westmont, IL 60559
Mailing address
7002 Bitterroot Dr.
Plainfield, IL 60586
Phone (815) 254-5457
Other names 1
- Dr. Laura Elizabeth Wilson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051290146 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Drug Stores LLC | Past | Accepting new patients | |
| American Drug Stores LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Diamond, IL
- NPI 1013786706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083826556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7002 BITTERROOT DR.",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "60586",
"telephone_number": "815-254-5457",
"fax_number": "630-986-8468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E. OGDEN AVE",
"city": "WESTMONT",
"state": "IL",
"postal_code": "60559",
"telephone_number": "630-986-8065",
"fax_number": "630-986-8468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDER",
"first_name": "LAURA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "WILSON",
"middle_name": "ELIZABETH",
"prefix": "DR.",
"credential": "PHARMD.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Westmont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.